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Tucker Clark
NPI 1184408742 · on the registry since 2023
Practice
- Address
- 6910 Silverheel St
Shawnee, KS 66226 - Phone
- (913) 405-4550
- Organisation at this address
- Bluehawk Creative Learning Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas